RESUMEN
The impact of COVID-19 and the associated lockdown measures on people's physical and mental wellbeing, as well as their daily lives and functioning, has been extensively studied. This study takes the approach of investigating the consequences of COVID-19 on a national scale, considering sociodemographic factors. The main objective is to make a contribution to ongoing research by specifically examining how age, gender, and marital status influence the overall impact of COVID-19 and wellbeing indicators during the second lockdown period that was implemented in response to the COVID-19 pandemic in the Greek population. The study involved a sample of 16,906 individuals of all age groups in Greece who completed an online questionnaire encompassing measurements related to personal wellbeing, the presence and search for meaning in life, positive relationships, as well as symptoms of depression, anxiety, and stress. Additionally, to gauge the levels of the perceived COVID-19-related impact, a valid and reliable scale was developed. The results reveal that a higher perception of COVID-19 consequences is positively associated with psychological symptoms and the search for meaning in life, while being negatively correlated with personal wellbeing and the sense of meaning in life. In terms of individual differences, the findings indicate that unmarried individuals, young adults, and females tend to report higher levels of psychological symptoms, a greater search for meaning in life, and a heightened perception of COVID-19-related impact. These findings are analyzed in depth, and suggestions for potential directions for future research are put forth.
Asunto(s)
COVID-19 , Femenino , Adulto Joven , Humanos , COVID-19/epidemiología , COVID-19/psicología , Grecia/epidemiología , Cuarentena/psicología , Pandemias , Individualidad , Depresión/epidemiología , Depresión/psicología , Estrés Psicológico/epidemiología , Control de Enfermedades Transmisibles , Ansiedad/epidemiología , Ansiedad/psicologíaRESUMEN
In this paper, a Markov Regime Switching Model of Conditional Mean with covariates, is proposed and investigated for the analysis of incidence rate data. The components of the model are selected by both penalized likelihood techniques in conjunction with the Expectation Maximization algorithm, with the goal of achieving a high level of robustness regarding the modeling of dynamic behaviors of epidemiological data. In addition to statistical inference, Changepoint Detection Analysis is performed for the selection of the number of regimes, which reduces the complexity associated with Likelihood Ratio Tests. Within this framework, a three-phase procedure for modeling incidence data is proposed and tested via real and simulated data.
RESUMEN
Worldwide, the detection of epidemics has been recognized as a continuing problem of crucial importance to public health surveillance. Various approaches for detecting and quantifying epidemics of infectious diseases in the recent literature are directly influenced by methods of Statistical Process Control (SPC). However, implementing SPC quality tools directly to the general health care monitoring problem, in a similar manner as in industrial quality control, is not feasible since many assumptions such as stationarity, known asymptotic distribution etc. are not met. Toward this end, in this paper, some of the open statistical research issues involved in this field are discussed, and a distribution-free control charting technique based on change-point analysis is applied and evaluated for detection of epidemics. The main tool in this methodology is the detection of unusual trends, in the sense that the beginning of an unusual trend marks a switch from a control state to an epidemic state. The in-control and out-of-control performance of the adapted control scheme from SPC is thoroughly investigated using Monte Carlo simulations, and the applied scheme is found to outperform its parametric and nonparametric competitors in many cases. Moreover, the empirical comparative study provides evidence that the adapted change-point detection scheme has several appealing properties compared to the current practice for detection of epidemics.
Asunto(s)
Enfermedades Transmisibles , Epidemias , Epidemias/prevención & control , Humanos , Método de Montecarlo , Vigilancia en Salud Pública/métodosRESUMEN
When it comes to incidence data, most of the work on this field focuses on the modeling of nonextreme periods. Several attempts have been made and a variety of techniques are available to achieve so. In this work, in order to model not only the nonextreme periods but also capture the behavior of the whole time-series, we make use of a dataset on influenza-like illness rate for Greece, for the period 2014-2016. The identification of extreme periods is made possible via changepoint detection analysis and model selection techniques are developed in order to identify the optimal periodic-type auto-regressive moving average model with covariates that best describes the pattern of the time-series. In addition, in the context of incidence data modeling, an advanced algorithm was developed in order to improve the accuracy of the selected model. The derived results are satisfactory since the changepoint method seems to identify correctly the extreme periods, and the selected model: (1) estimates accurately the influenza-like illness syndrome morbidity burden in the case of Greece, and (2) captures satisfactorily enough the behavior of the whole time-series.